Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811917636 Individual Practitioner Male Practitioner

Dr. Phillip S.h Park , DDS

Dentist - General Practice • Pasadena, CA

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Pasadena, CA. Practice services are available at 742 E COLORADO BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

742 E Colorado Blvd

Pasadena, CA 911012105

Telephone 6264050707
Fax 6264058876
Associated Practice Facility / Clinic
🏢 Phillip S.h. Park Dds.,inc. Facility NPI 1750304192

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pasadena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
110 Specialists

Practicing in Pasadena, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 42593

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
G91415-01 (CA)
Commercial Insurance / Payer ID State Goverment Healthy F
B42593-01 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Julia Lee , DDS

Dentist - General Practice

NPI 1942224118

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 03, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2013

Registered at 742 E COLORADO BLVD, PASADENA, CA 911012105 (Tel: 6264050707)

📍
Updated Business Mailing Address May 03, 2013

Registered at 742 E COLORADO BLVD, PASADENA, CA 911012105 (Tel: 6264050707)

👤
Provider Name / Credentials Updated May 03, 2013

Recorded as PHILLIP PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2013

Dentist (License #42593 in CA)

🟢
Initial NPI Registration & Enumeration July 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811917636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2006
Last Update: May 03, 2013
Sole Proprietor: No

Mailing Address

742 E Colorado Blvd

Pasadena, CA 911012105

Phone: 6264050707

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.